Jeremy Lynn Dicicco

NPI #1588991582 in Benton, Arkansas

Provider Information

NPI Number: 1588991582
Entity Type: Individual
Name: Jeremy Lynn Dicicco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Counselor
Enumeration Date: Nov 11, 2009
Last Updated: Feb 3, 2023

Practice Location

Address: 10 HYTEN
City: Benton
State: Arkansas
ZIP Code: 72015-3831
Phone: (804) 592-1205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Rehabilitation Counselor	225C00000X	Primary

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